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DANICA ANNE DE GUZMAN FNP
NPI 1124888011
Nurse Practitioner - Family in Raritan, NJ

Active since March 19, 2024PECOS Enrolled
616 LINDNER CT, RARITAN, NJ 08869(908) 400-6401 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danica Anne De Guzman Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANICA ANNE DE GUZMAN FNP (NPI 1124888011) is an individual family provider in Raritan, New Jersey, licensed in New Jersey (26NJ14978400) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124888011
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANICA ANNE DE GUZMANCredential: FNP
Location Address616 LINDNER CTRaritan, NJ 08869-2309
Mailing Address616 Lindner CtRaritan, NJ 08869-2309 · (908) 400-6401
Phone(908) 400-6401
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1124888011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ14978400
616 LINDNER CT, Raritan, NJ 08869
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danica Anne De Guzman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Danica De Guzman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
22 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Medical Director Services PC
172 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
424 services102 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
70 services45 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
45 services32 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
34 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
20 services17 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08869 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danica De Guzman's NPI number?

The NPI number for Danica De Guzman is 1124888011. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Danica De Guzman located?

Danica De Guzman practices at 616 Lindner Ct, Raritan, NJ 08869. The listed phone number is (908) 400-6401.

What is Danica De Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danica De Guzman enrolled in Medicare?

Yes. Danica De Guzman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danica De Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danica De Guzman reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group, PC (West Orange, NJ) and Medical Director Services PC (Princess Anne, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danica De Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danica De Guzman accept?

Health plans from Oscar Health list Danica De Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Danica De Guzman was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.